Individual provider Active NPI

Paul J Ruggiero, M.D.

  • Ophthalmology Physician
  • Danbury, CT
National Provider Identifier
1386642619
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
019618 Issued in CT
Practice address
69 Sand Pit Rd
Suite 101
Danbury, CT 06810-4004
Phone
(203) 791-2020
Fax
(203) 778-6238
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 019618 CT Primary

Addresses

Primary practice location

69 Sand Pit Rd
Suite 101
Danbury, CT 06810-4004

Mailing address

69 Sand Pit Rd
Suite 101
Danbury, CT 06810-4004
Phone (203) 791-2020

Other identifiers 1

IdentifierTypeStateIssuer
001196187MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pruggiero@danburyeye.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902001182 CT Practitioner - Ophthalmology 9931232741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Eye Consultants PCGroup PAC ID 2668431792, 16 clinicians

Practice addresses (Care Compare)

69 Sand Pit Rd
Suite 101
Danbury, CT 06810-4004
Phone (203) 791-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
019618CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Eye Consultants, PC Ophthalmology CurrentSince Oct 10, 1986 Accepting new patients
Connecticut Eye Consultants, PC Ophthalmology CurrentSince Oct 10, 1986 Accepting new patients

Locations

69 Sand Pit Rd
Ste 101
Danbury, CT 06810
Phone (203) 791-2020

Interoperability endpoints

  • Direct secure messaging: paul.ruggiero.p1@direct.danburyeye.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1386642619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 SAND PIT RD",
            "address_2": "SUITE 101",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104004",
            "telephone_number": "203-791-2020",
            "fax_number": "203-778-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 SAND PIT RD",
            "address_2": "SUITE 101",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104004",
            "telephone_number": "203-791-2020",
            "fax_number": "203-778-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIERO",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "019618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001196187",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pruggiero@danburyeye.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "69 Sand Pit Rd",
            "address_2": "Suite 101",
            "city": "Danbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068104004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.